Utilization of ancillary studies in the cytologic diagnosis of respiratory lesions: The papanicolaou society of cytopathology consensus recommendations for respiratory cytology

Diagn Cytopathol. 2016 Dec;44(12):1000-1009. doi: 10.1002/dc.23549. Epub 2016 Aug 26.

Abstract

The Papanicolaou Society of Cytopathology has developed a set of guidelines for respiratory cytology including indications for sputum examination, bronchial washings and brushings, CT-guided FNA and endobronchial ultrasound guided fine needle aspiration (EBUS-FNA), as well as recommendations for classification and criteria, ancillary testing and post-cytologic diagnosis management and follow-up. All recommendation documents are based on the expertise of committee members, an extensive literature review, and feedback from presentations at national and international conferences. The guideline documents selectively present the results of these discussions. The present document summarizes recommendations for ancillary testing of cytologic samples. Ancillary testing including microbiologic, immunocytochemical, flow cytometric, and molecular testing, including next-generation sequencing are discussed. Diagn. Cytopathol. 2016;44:1000-1009. © 2016 Wiley Periodicals, Inc.

Keywords: cytology; flow cytometry; immunocytochemistry; molecular diagnostics; next-generation sequencing.

MeSH terms

  • Biomarkers, Tumor / standards
  • Bronchoscopy / standards
  • Carcinoma / classification
  • Carcinoma / genetics
  • Carcinoma / metabolism
  • Carcinoma / pathology*
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration / standards
  • Humans
  • Papanicolaou Test / standards
  • Pathology, Clinical / organization & administration
  • Practice Guidelines as Topic*
  • Respiratory Tract Neoplasms / classification
  • Respiratory Tract Neoplasms / genetics
  • Respiratory Tract Neoplasms / metabolism
  • Respiratory Tract Neoplasms / pathology*
  • Societies, Medical
  • Sputum / cytology

Substances

  • Biomarkers, Tumor